Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 357142 | CO |
N | 111NI0900X | Internist | 357142 | CO |
Y | 207RR0500X | Rheumatology | 56684 | MN |
NPI | 1093079055 |
---|---|
Provider Name | Emily Pfeifer |
First Address | Edina, MN 55435-4312 |
Second Address | Edina, MN 55435-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 30/09/2021 |